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Vol. 32. Issue S1.
O que o cardiologista deve saber sobre diabetes: investir no capital vascular
Pages 32-34 (April 2013)
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Vol. 32. Issue S1.
O que o cardiologista deve saber sobre diabetes: investir no capital vascular
Pages 32-34 (April 2013)
Open Access
Educação do doente terapêutico no tratamento da diabetes
Therapeutic patient education in diabetes management
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José Manuel Boavida
Endocrinologista, Director do Programa Nacional para a Diabetes, Lisboa, Portugal
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Resumo

As complicações tardias da diabetes tipo 1 e tipo 2 podem ser eficazmente evitadas ou retardadas utilizando uma intervenção activa e as terapias disponíveis. Ainda assim, a percentagem de pessoas com diabetes que aderem à terapêutica proposta pelos profissionais de saúde é bastante baixa.

As pessoas com diabetes ou qualquer outra doença crónica precisam de ser envolvidas no seu próprio tratamento. Um conhecimento básico da doença é muito importante mas para a mudança de comportamentos é fundamental um reforço das atitudes apropriadas e um processo contínuo de motivação da pessoa com doenças crónicas. É necessário educar as pessoas providenciando-lhes ferramentas e skills para gerir a sua própria doença, tornando-os autónomos, capacitando-os.

No Modelo de educação terapêutica a pessoa com doença deixa de ser o objecto e passa a ser um dos intervenientes do processo – torna-se parte da equipa e parte da solução.

Palavras-chave:
Diabetes
Empowerment
Educação terapêutica
Relação profissional de saúde e pessoa com doença crónica
Abstract

Late complications of type 1 and type 2 diabetes can also be effectively avoided or delayed using active intervention and available therapies. Despite these facts, the percentage of people with diabetes following the therapy proposed by health care professionals is quite low. People with diabetes or any other chronic disease have to be involved in their own treatment. Basic knowledge is very important for the patient but the reinforcement of appropriate attitudes and a continuous process of motivation is fundamental in changing habits and behaviour. We need to educate patients, giving them the tools and skills to manage their disease, allowing them to become autonomous, empowering them.

In the Therapeutic Patient Education model the patient is no longer the object but instead one of the actors in the process. He becomes part of the team and part of the solution. Goals are agreed as a result of input of the patient's desires, details of his daily life, his perceptions and the HCP's biomedical objectives.

The patient takes care of himself and will, step by step, become aware of the consequences of his actions, in collaboration with his health team.

Keywords:
Diabetes
Empowerment
Therapeutic education
Relation between health care professionals and people with chronic disease
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Copyright © 2013. Sociedade Portuguesa de Cardiologia
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